Individual
DR. STEPHEN B HALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 EL MIRADOR AVE, LONG BEACH, CA 90815-4420
(505) 250-6954
Mailing address
1025 EL MIRADOR AVE, LONG BEACH, CA 90815-4420
(505) 250-6954
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005-0385
NM
2085R0202X
Diagnostic Radiology Physician
MD207334
OR
Other
Enumeration date
02/06/2007
Last updated
03/02/2023
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